Lee Philip M, Snyder Eli M, Obana Kyle K, Trofa David, Lee Lorrin, You Jae
John A. Burns School of Medicine, Honolulu, Hawaii, USA.
Department of Orthopaedics, Columbia University Irving Medical Center, New York, New York, USA.
Orthop J Sports Med. 2024 Dec 4;12(12):23259671241298586. doi: 10.1177/23259671241298586. eCollection 2024 Dec.
The mean age of volleyball athletes has increased over the past decade, raising concerns about musculoskeletal injuries. There is no literature on how different mechanisms of injury (MOI) affect different adult age groups.
To evaluate epidemiologic trends, diagnoses, and mechanisms of volleyball-related upper extremity injuries within different adult age groups.
Descriptive epidemiology study.
Data from the National Electronic Injury Surveillance System for volleyball-related upper extremity injuries in patients aged between 19 and 79 years, between January 1, 2013, and December 31, 2022, were analyzed. Data included body parts, diagnosis, MOI, and disposition. Calculations used corresponding hospital sample weights for national estimates (NEs). Patients were divided into either 20-39, 40-59, or 60+ years age groups. Linear regressions were used to analyze annual trends, chi-square tests were used to analyze categorical variables, and the Holm value adjustment method was utilized in post hoc analysis.
A weighted NE of 41,164 volleyball-related upper extremity injuries occurred in the study period. The mean age was 35.8 ± 14 years, and male patients constituted 49.4% of all patients. The most injured body parts of all age groups were fingers (33.2%), shoulders (28.9%), and wrists (16%). The most common identifiable MOI were impacts with the floor (24%), impacts with the ball (18.7%), and spikes/serves (6.9%). The 20-39 age group experienced shoulder dislocations at the greatest rate of all age groups (NE = 3362 [37%]) and sustained injuries from spike/serve movements at the greatest rates (NE = 2214 [8.2%]; < .01). Of the 3362 shoulder dislocations in the 20-39 age group, 1445 (43%) were during spikes/serves. The 60+ age group had the greatest rates of sprains/strains (NE = 1353 [41.1%]). Additionally, the 60+ age group suffered from injuries secondary to impacts on the floor (NE = 1242 [37.7%]) and impacts with the ball (NE = 769 [23.4%]) at the greatest rates ( < .01).
Our study demonstrated that adult populations are at risk for volleyball-related upper extremity injuries, specifically affecting the finger, wrist, and shoulder. MOI among age groups differed, as younger adults more often sustained injuries from dynamic movements, whereas older adults sustained injuries from trauma.
在过去十年中，排球运动员的平均年龄有所增加，这引发了对肌肉骨骼损伤的担忧。目前尚无关于不同损伤机制（MOI）如何影响不同成年年龄组的文献。
评估不同成年年龄组中与排球相关的上肢损伤的流行病学趋势、诊断情况及损伤机制。
描述性流行病学研究。
分析了2013年1月1日至2022年12月31日期间，国家电子伤害监测系统中19至79岁患者与排球相关的上肢损伤数据。数据包括身体部位、诊断、损伤机制及处置情况。计算时使用了相应的医院样本权重以进行全国估计（NE）。患者被分为20 - 39岁、40 - 59岁或60岁及以上年龄组。采用线性回归分析年度趋势，卡方检验分析分类变量，并在事后分析中使用霍尔姆值调整方法。
在研究期间，发生了加权全国估计数为41,164例与排球相关的上肢损伤。平均年龄为35.8±14岁，男性患者占所有患者的49.4%。所有年龄组中受伤最多的身体部位是手指（33.2%）、肩部（28.9%）和手腕（16%）。最常见的可识别损伤机制是与地面碰撞（24%）、与球碰撞（18.7%）以及扣球/发球（6.9%）。20 - 39岁年龄组的肩关节脱位发生率在所有年龄组中最高（全国估计数 = 3362 [37%]），且扣球/发球动作导致的损伤发生率也最高（全国估计数 = 2214 [8.2%]；P <.01）。在20 - 39岁年龄组的3362例肩关节脱位中，1445例（43%）发生在扣球/发球时。60岁及以上年龄组的扭伤/拉伤发生率最高（全国估计数 = 1353 [41.1%]）。此外，60岁及以上年龄组因与地面碰撞（全国估计数 = 1242 [37.7%]）和与球碰撞（全国估计数 = 769 [23.4%]）导致的损伤发生率最高（P <.01）。
我们的研究表明，成年人群存在与排球相关的上肢损伤风险，特别是影响手指、手腕和肩部。不同年龄组的损伤机制有所不同，较年轻的成年人更常因动态动作受伤，而较年长的成年人则因外伤受伤。
